Anne Millette Nabors
Individual provider Active NPI Pharmacy · Houston, MS
NPI 1376145805 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1376145805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy 333600000X
- License
- E8228 (MS)
- Practice address
- 660 E Madison St
Houston, MS 38851-2411 - Phone
- (662) 456-9244
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E8228 | MS | MD | Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Pharmacy | Past |
Accepting new patients |
| Wal-Mart Stores East LP | Pharmacy | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | E8228 | MS | Yes |
Addresses
Primary practice location
660 E Madison St
Houston, MS 38851-2411
Mailing address
121 Whispering Pine Cir
Houston, MS 38851-2412
Phone (662) 456-6934
Other providers in Houston, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.